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NPI Code Detail

MEDICARE: FLOYD OSTROM II D.O.

MEDICARE: FLOYD OSTROM II D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianE5595TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11548230923OTHERGROUP NPI NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679595755
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLOYD OSTROM II D.O.
Provider Business Mailing Address
First Line : 1300 W LANCASTER
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-3484
Country : US
Telephone Number : 817-390-2900
Fax Number : 817-390-2981
Provider Business Practice Location Address
First Line : 1300 W LANCASTER AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-3410
Country : US
Telephone Number : 817-336-8611
Fax Number : 817-390-2981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 05/18/2010

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